Residential Education Roommate Agreement Template

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Residential Education - ROOMMATE AGREEMENT
The following is designed to help you in developing a positive, healthy roommate relationship. This agreement is for you and
your roommate(s) to discuss. Upon completion, you should turn in the completed form to your RA who will then meet with
you and your roommate to discuss your responses. By initializing the document, it simply indicates a good faith
acknowledgment that you have read, discussed, and completed this document.
Please complete:
Name:
_______________________________________________________
Name:
_______________________________________________________
Name:
_______________________________________________________
Name:
_______________________________________________________
Building: ________________________
Room: _____________
When one roommate is sleeping we will / will not do the following……
We will coordinate cleaning our space as follows…..
We will set the following guidelines concerning guests and visitors……
My roommate(s) is allowed to borrow/is not allowed to borrow…..
If we are upset with each other, we agree to…….
Initials: ____________________
Date: _______
Initials: ____________________
Date: _______
Initials: ____________________
Date: _______
Initials: ____________________
Date: _______
Residential Education - ROOMMATE AGREEMENT
The following is designed to help you in developing a positive, healthy roommate relationship. This agreement is for you and
your roommate(s) to discuss. Upon completion, you should turn in the completed form to your RA who will then meet with
you and your roommate to discuss your responses. By initializing the document, it simply indicates a good faith
acknowledgment that you have read, discussed, and completed this document.
Please complete:
Name:
_______________________________________________________
Name:
_______________________________________________________
Name:
_______________________________________________________
Name:
_______________________________________________________
Building: ________________________
Room: _____________
When one roommate is sleeping we will / will not do the following……
We will coordinate cleaning our space as follows…..
We will set the following guidelines concerning guests and visitors……
My roommate(s) is allowed to borrow/is not allowed to borrow…..
If we are upset with each other, we agree to…….
Initials: ____________________
Date: _______
Initials: ____________________
Date: _______
Initials: ____________________
Date: _______
Initials: ____________________
Date: _______

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